Category: Health

The Implementation of Capital Funds Intended for Primary Healthcare Provision in Nigeria

Chambers Umezulike December 1, 2016 2

CODE participated in the Stakeholder Briefing on Primary Healthcare Centres (PHC) which was held on 29 November 2016 at Spice Platter Gallery, 18 Libreville Crescent, Wuse 2, Abuja. It was choreographed by the Public and Private Development Center (PPDC) and was a briefing on the findings from PHCs visited by PPDC and CODE, in 2016.

PPDC on its part has been mobilizing procurement monitors to track and verify the performance of contracts awarded for projects such as PHCs across the country. This is with the aim of ensuring that public resources are been judiciously utilized in providing public services. CODE also through its Follow the Money initiative has been tracking government implementation of capital funds that are intended for local communities in health, education and environment.

The stakeholders meeting then provided a platform for the two organizations to interact with relevant stakeholders drawn from the National Assembly, State Ministries of Health and several media agencies. The event featured a presentation by PPDC on their procurement and budget tracking works in local communities. In the event, the organization also presented its Budeshi online platform. The online platform is a dedicated site that links budget and procurement data to various public services. It is accessible to the public to interact with and make their own comparisons. This is in a bid to make information around public contracts and procurement process more coherent. Budeshi is also an attempt to demonstrate the Open Contracting Data Standards across the public procurement value chain.

CODE on its part made a presentation on its monitoring of the implementation of capital funds for the rehabilitation of PHCs in Akwa Ibom, Enugu, Kano, Kogi, Osun, and Yobe states. Part of the funds include the $1.5 million health grant from the World Bank to each of the 36 Nigerian states & the FCT and N10.5 earmarked by NPHCDA for the rehabilitation of a PHC in Afia Nsit Urua Nko, Akwa Ibom State. The presentation also accentuated the fact that no sort of implementation is going on with respect to the funds and that governmental agencies are so lackadaisical in replying FOI Requests on further perspicacity on these funds.

The concerned stakeholders such as the personnel from Oyo and Osun States’ Ministries of Health commented that most states have not accessed the World Bank Health Grant. This is contradictory to information that CODE has at this time which is that some states have gotten access. Moreover, our interest is on getting the costed work plan for the grant’s employment, as well as safeguarding citizen engagement on the usage of the fund – which all do not have anything to do with the technicalities of funds provision, assessment, receipt . . . The representative from Osun State Ministry of Health promised to provide the costed work plan of the $1.5 million usage in Osun State to CODE. We hope he does this, and that the State Ministries of Health put information on all the expenditure and intended projects in the public domain.

Press Release: Government Should Scale-Up Primary Health Care Service Delivery Nationwide

Hamzat Lawal November 16, 2016 0

A leading NGO Connected development [CODE] has called on government at all level to take up one of its responsibilities by ensuring proper facilities are put in place in various primary health care centers in Nigeria.

Following the release of $1.5million dollars from World Bank to the 36 states respectively including the Federal Capital Territory as part of the World Bank supported “Save One million Lives” the Follow the Money team of CODE visited 6 states respectively to assess the state of the PHCs to track the implementation of these funds. These states are Akwa Ibom, Enugu, Kano, Kogi, Osun and Yobe.

Findings from the field visit to each of the states are appalling as most of the Primary Health Centres are facing several reprehensible and elementary challenges. Generically, most of them have no improved water supply, electricity, security, quarters for hospital staffers; there is no stationed doctor, and the toilet facilities are in a mess. Furthermore, because of these challenges, the PHCs do not operate 24/7, cannot admit or treat sick people and lack sufficient tables & chairs.

Some key Findings:

In Kano

Follow The money team visited Kantudu in Makoda LGA of Kano State. They found out that the PHC serves 2,500 people, all coming from 13 surrounding villages. The PHC was built 5-6 years ago as a senatorial project in Makoda LGA. The PHC has one male and female ward, which are not presently functioning. There are only three staffers with one community health worker who are not certified health professionals.

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During the interactive section with the head of community Alhaji Muhammad Musa, and the community association said that they have reached out to the government of Kano twice on the state of the health centre in Kantudu, but there was no response. “We hope this campaign with ONE and CODE will make the government of Kano look at the plight of our health center so that our people can start using it” says Malam Ali, the medical head at the PHC.

In Yobe State

We were in Lantenwa, Yobe where a Primary Health Care is in a messy situation. The PHC in Lantenwa is in Lantewa village, Lantewa ward, Tarmuwa LGA. It serves a population of 13,400 under 5 yrs; 10-15 patients daily, 70-105 weekly. Speaking to the head community ,AuduLantewa, mentioned that the dispensary has been dilapidated for more than 7 years, he added that dispensary situation is critical and he personally reported the issue to local authorities several times. He further lamented that “Lantewa is the gathering centre of four neighbouring with approximately 7,000 registered voters, as such, we should get better things from the government” he said

In Kogi State

We went to the PHC to find out if the implementation of the fund is ongoing as well as to track the implementation of the N10.5 million earmarked by the National Primary Health care Development Agency for the rehabilitation of the PHC. On reaching there, there was no such intervention taking place. The Officer in Charge (OIC) said it was the first time she was hearing of such. The village head whom we paid a courtesy visit to also said he has never heard of such. We then went to the Operational Base of the NsitIbom LGA’s Health Centres and the Director of the base told us that she has never heard of such fund for the PHC’s rehabilitation30817372226_364e4ee1b1_n

In Osun State

Our team went on ground to track the $1.5m earmarked by the World Bank and the Federal Government of Nigeria for the Saving One Million Lives Initiative and all we could see while on the field is nothing to write home about. From our findings, the facility is meant to serve 11 villages which are: Gboore, Alajue-Logun, Asunmo, Ayegbami, Agbopa, Jagun-Odomu, Olodan, Aladie, Amosun, Seesa, Akiribiti amongst others. In total, the target population which the facility is meant to serve is 12,498. 498 of the population are children less than one year, the Primary Health Care Centre has a monthly target of 42 patients, but it ends up serving more than 400 on an average.

Consequently, a Freedom of Information letters was sent to the concerned government institutions and offices for a breakdown of the funds usage, implementation window and respective contractors, especially the governmental institutions concerned, to instantaneously start the implementation of these funds, ensure transparency & accountability in the funds’ implementation, and make government data open in line with the Open Government Partnership.

Follow The Money is a growing movement currently in 32 states of the country, held community outreaches to 10 primary health facilities in Kano, Yobe, Osun, and found out that all were in a state of dysfunction, even with the funds that have been released to the states to upgrade the primary health care “Most of the Clinic at the PHC in the 5 states that our community reporters visited were in an abandoned state, lacks basic healthcare amenities and needs urgent attention to serve people at local communities.” affirmed Hamzat Lawal, CODE’s Chief Executive & Co-Founder, Follow The Money.   

He stressed that annually, over 70,000 children below age 5 in Nigeria die due to poor access to healthcare and sanitation-related illnesses (UNICEF). Lawal urged government actions to serve the people by improving better service delivery while ensuring transparency and accountability.

More pictures can be found here https://flic.kr/s/aHskNiNznP

 

CSOs Seek Collaboration with National Assembly on Budget Matters.‎ By Olusegun Olagunju

Hamzat Lawal November 11, 2016 2

In a bid to safeguard transparency and accountability around several themes concerning the Budget, the Committee on Diaspora and Non-Governmental Organisations (NGOs) of the Nigerian Senate in collaboration with Policy and Legal Advocacy Centre (PLAC) and UK‎ Department for International Development (DFID) on Wednesday, November 3rd, 2016 hosted an Interactive Session. The Session was between the Senate Committee on Diaspora and Non-Governmental Organisations and Civil Society Organisations on Nigeria’s Budgeting System with a Focus on 2016 Budget Performance and 2017 Budget.

The President of the Senate, Dr. Bukola Saraki was available to declare open the Interactive Session. He stated, “The implementation of the 2016 Budget is still ongoing” and added that, “Non-oil revenues are also falling out of projection, affecting the Budget implementation.”

img_0393-editThe Chairman, Senate Committee on Diaspora and Non-Governmental Organisations, Senator Rose Oko gave her opening remarks and extensively gave commended the efforts of the NGOs and CSOs partnership that has yielded a whole lot of benefits over the past years.

She said, “At the first session held at Transcorp Hilton on 8th of February 2016, a consensus was reached that a Memorandum of Cooperation be developed.”
According to her, “On the 10th February 2016, another session was held in the Senate Conference room and was attended by the Senate President. A Major outcome of the meeting was the strong position canvassed by the CSOs seeking to be involved in the budgetary process in the National Assembly. The Senate believes that the involvement of CSOs would add value to the budgetary process of the National Assembly.”

She went further to say, “Senate reasoned that their involvement would also help to improve service delivery as government would feel pressured to perform better based on the CSOs budget analysis, general oversight role and information dissemination.”

“Senate therefore considered that the participation of CSOs could strengthen the legislators’ functions on budgetary matters by way of delivering research-based evidence and advice to members of the National Assembly”.

Senator Rose Oko reiterated further that the Senate, “Will use this forum to develop a functional framework that will enable us to achieve enhanced results in the budget system. Fundamentally, this meeting will offer us a crucial window to preview and endorse our Memorandum of Cooperation with a view to affirming the direction of our partnership. This development would enable us to commence without further delay, mutual activities and joint actions beneficial to our Nation”.

She congratulated us all and welcomed us to this new bond of a working relationship between the CSOs and Legislature.

img_0384-editThe Chairman of PLAC, Mr. Clement Nwankwo was in attendance and also gave insightful tips on how the Senate can gain the CSOs trust.

He said, “We want to see the figures reeled out as to what has been achieved”. He expressed further that, “The executives should explain to the masses what has happened to the 2016 budget.”

To bring his remarks to a close, he said, “CSOs have questions to ask” and that, “We hope the partnership between CSOs and the Senate will bring good results.”

In attendance also was Dr. Otive Igbuzor, the Executive Director, African Centre for Leadership, Strategy and Development. He gave a detailed speech tailored towards ensuring mutual harmony of the CSOs and Legislature, he was, however very brave to point at the hollow points in the designing strategies of the budget and gave a broader overview.

In his remarks he said, “In Nigeria, there are a lot of blockages to effective budgeting. First and foremost, the budgetary process is not participatory. Citizens and communities do not participate in formulating policies and agreeing on projects that go into the budget. Meanwhile, It has been documented that wherever participatory budget is implemented. It has expanded citizenship, empowered excluded groups, redeemed rights, deepened democracy and stimulated civil society.”

He said, “The budgetary process is not open. Corruption in any country starts from the budgetary process. In very corrupt countries, the budget is done in secrecy. Releases are done without the knowledge of citizens. Procurement information is not made available to Citizens and corruption is guarded and protected.”

He went further, “A budget is regarded as open if Citizens have access to the key budget documents; have high level of involvement in the budgetary process and have access to procurement information.”

Still on citizens participation in the budgetary process, Dr Otive said, “As a matter of fact, democracy will be meaningless if the citizens do not participate in how government raise and spend money. This is why the tool – Open Budget Survey Tracker – developed by the International Budget Partnership is a very useful instrument.”

What he said concerning the budget not being in accordance with the development challenges of the country is that, “There is no synergy between plans, policy and budget. We have always argued that there is the need for better public finance management across the world because of increasing inequality and non-inclusive growth. The past five decades have witnessed monumental changes in the world. Global economic wealth has increased sevenfold and average incomes have tripled.”

He said there are frivolous expenditures in the budget that will not stand any reasoning and logic. “For instance, the Centre for Social Justice documented N668.8 billion frivolous expenditure in the 2016 budget. They include N3.91 billion allocated annual reporting maintenance of villa facilities; N322.4 million for linking of cable to drivers rest room at the villa; N213.8 million for linking cable from guest house to generator house etc.”

He was quick to point at the institutions and mechanisms for oversight of the budgetary process as being weak. He said, “In any modern democracy, the legislature, civil society and media are expected to play oversight functions in addition to the internal control system in place by the executive.”

According to him, there were many lessons learnt from the 2016 budget implementation, some of which are: the Engagement by Citizens and citizens’ groups produced some positive reports in terms of reduction of frivolous expenditure. For instance, CSJ documented a total saving of N71,954,532,546.00 from the 2016.

img_0377“Delay in passage of budget continued in 2016. This has the potential to affect budget performance negatively. There was low capacity in understanding the new budgetary approach of zero base budgeting on the part of public servant and civil society,” he asserted.

He also made a deep dive into how Civic Education, Social, Economic and political resilience, budget literacy, comparative analysis of best practice in budgeting are the issues that formulate emerging consensus among civil society that needs to be addressed going forward.

According to Dr. Igbuzor, there are three ways we could measure the impact level performance of the 2016 budget, they are: Input Level, which is how much of the budgeted amount was released and used in the implementation.

Process, how the activities were carried out. Procurement process asks if the activities are carried out as and at when due.

Output, Outcome and Impact levels concerns the immediate result of the activities. The effect of the budget activities or any change attributable to the budget actives and Change in people’s lives attributable to the budget respectively.

He lamented that, “For a very long time, Nigeria had no institutionalised monitoring and evaluation system where there is a regular production of monitoring information; regular production of monitoring findings; and monitoring and evaluation findings are used to improve government performance.”

In conclusion, he commended the National Assembly for the interactive session. He stated, “We need to go a step further by ensuring public hearing in the budget at all levels: Federal, State and Local Government. I undemanding that the leadership of the National Assembly has agreed on the need to subject the budget to Public hearing. The 2017 budget should be the beginning point.”

Positive reactions and  towards his remarks came from different sections of the room.

Critical observations and assessment of Citizens’ priorities in Budgeting Formulations was made by Barrister Eze Onyekpere of the Centre for Social Justice.

The representative of Department of International Development prayed ‎prayed that, “It will be helpful if you can ensure this becomes a norm and part and parcel of the legislation in terms of what concerns the citizens.”

The Chief Executive of Connected Development, Hamzat Lawal who was present at the Interactive Session raised the tempo of the hall when he greeted with the assertion that,‎ “There’s a World Bank intervention fund for PHCs across Nigeria, we just came back from Akwa Ibom, Kogi, Osun, Yobe, Enugu, Osun and Kano as we seat, nothing has been done.”

Senator Tejuosho, Chairman Senate Committee on Health also mildly acknowledged that, “Of course The Health Act is one of the declarations that I know we are violating”.‎

Senator Rose Oko, in her closing remarks said, “We need to work together, the CSOs and the Nation Assembly need to work together.”

“We will recommend a resolution of this interactive session to the Senate for approval”.‎

Lastly, she assured that, “We will make available to you the conclusion of this meeting.”

The Senate was reminded of their promise that, ‎”You made a promise to #OpenNASS, please open it up”‎ and this, to me was the highpoint of the Interactive Session.

Five ways to avoid public Urination

Hamzat Lawal June 6, 2016 0

In celebration of the world environment day, i choose to come up with this little write up, aside from hygiene. this is also a means advocating for safe, green and habitable environment

Five ways to avoid public urination in Nigeria.

I have always wondered why a well-dressed man, apparently driving in an expensive car, would pull up by the roadside, unzip his trousers and pull out his manhood to urinate.

The funny part is you see them using their hands to cover the side shaft of the manhood on both sides while the urine projects into the earth below.Thereby polluting the air, and  killing our beautiful green plants . Some just bend their upper body backwards a bit, pushing their waist out while supporting it with their right hand and the other left holding the manhood. Some just pull down their pants and bend down.

Little did I know that ladies also urinate by the roadside, I freaked out when I saw a lady in Abuja around 2pm doing the same on top the the beautiful green grasses by the road side. She was dressed in her pink skirt and a blue top, she stood by the expressway, opened her legs while standing with her hands beneath the skirt.

From afar I watched the long urine gush out from between her legs. The sight of it got me so irritated and curious.The relief you often find on their faces suggest most people who urinate in the open, in public area, possibly have held the urine for so long and just couldn’t go an inch further with their heavy bladder.

For men, once they are done, they angle it to shake off the last drops before returning it  back to their trousers. Sometimes, urine droplets lands on their hands, and even their trousers. Many would just go ahead and rub their hands on their trouser and then walk away. This is highly unhygienic.

Most women would stamp their feet on the ground twice for the last drop of urine to fall out then they clean with tissue papers or rinse through with water

Nature calls are sometimes difficult to cheat.  But passing it out for the public to see is a no no, aesthetically and hygienically.  More so it is highly not lady like for women to be seen squatting by the roadside to pass urine.

Avoiding public defecation is a huge challenge in Nigeria as most city planners do not provide for such emergencies. Many cities are without public toilets and restroom. But here are five simple things you can do to help you avoid being pressed in places you may not have access to toilets, and how to react if nature calls unexpectedly.

  1. Use the toilet before stepping out: This is very important to all of us.No  matter where ever you are, once you know it’s time to step out from where you are ensure you use the toilet to pass out whatever it is from your body system.This should be done a second before you walk out of the door to your car.
  1. Self Discipline: This has got to to do with the mindset, once you can discipline yourself from every other thing, then you could discipline yourself from Urinating by the road side.
  1. Parental Upbringing: Growing up as a child, my teacher will tell me “Charity begins at home”. Parents should learn to teach their kids that Urinating by the roadside is wrong and they shall grow up with such training and of course pass it on to their own kids.

4.Make use of Eatery or Bank: Over time I have heard babes say they are shy of telling people they want to use the toilet,but really though we are all use the toilet no matter how classic we are. When you feel pressed walk into a bank or an eatery and head straight to gents or ladies and I can assure you,no one will stop to question.

  1. Make use of a secluded area: This will fall in place of when you can not locate a bank or an eatery. Once you get so pressed ensure you look for a well secluded corner where no one can see you but then again be conscious of secluded areas.

Let help save our plants in our environment.  Happy environmental day all.

Senate urges FG to approve funds for #SaveShikira

Hamzat Lawal June 3, 2016 2

The Senate on Thursday, June 2, urged the federal government to urgently approve and release the needed intervention funds from the ecological funds office for urgent remediation to help #saveshikira and affected communities.
In a three paragraph motion read by the Niger East senatorial district representative, David Umaru, the Senate called on the key federal government (ministry of health, solid minerals and environment) to re-mediate the environment and promote safer mining programmes for artisan miners.
The motion  is titled: The urgent remediation of lead poisoning in Shikira community of Niger state.
Hence, the Senate also called on  the Senate committee on solid minerals to review the 2007 mining act to reflect present realities in the sector as it affects local communities and artisan miners.
While-making contributions on #saveshikira, Umaru said the Senate is shocked at the survey result of the Federal Ministry of Health, confirming that 149 children who were under age five were tested for lead.
He added that the Senate is worried that environmental testing of residential buildings during the same survey indicated that there was a severe contamination of the environment.
“That early childhood exposure has been linked to violent criminal behavior later in the early adult life,It is therefore estimated that childhood lead exposure is costing developing countries 992 billion dollars annually due to reduction in IQ’s and earning potential according to a new study published recently,”he said
He noted that “The potential of lead poisoning to irrevocably inflict long term neurocognitive deficits on generations, there is need to urgently address this issue of national importance,
“This is a community that is already living below poverty line. All the children are already infected by this epidermic,” he said.
Also speaking , Shehu sanni representing Kaduna central senatorial district said the nation should work towards establishing a nuclear act.
“What the senate can do is to take the activities of illegal matters seriously. We have seen foreigners and Asians siphoning our resources. We should take an action that will address the problem,” he said.
There was a lead outbreak epidemic that recorded 65 cases in May 2015 in Rafi local government, which killed more than 28 children below the age of five. Many of which have  died in Shikira village of Madaka district, Rafi local government area of Niger State.
The affected children suffered convulsion and weakness of limbs as medical examination proved that the children died from lead poising arising from illegal artisan gold mining activities in the area.

8 things to know about LEAD Poison

Hamzat Lawal May 13, 2016 0

Many Nigerians only hear about LEAD Poison and how it is affecting children in most of the mining states in Northern part of Nigeria. But careless of how its been contacted or passed on.

Many people have that tiny voice in their head that tells them (any way, wetin concern me, na village people na, dem get the sickness,dirty people, farmers dem).

Many of us already have a nonchalant attitude towards the disease, not knowing the mode of transmission, causes, symptoms or even how deadly it is. I am so sure i just spoke your mind. Not to worry i will give you an insight to it.

Let me start by explaining what LEAD Poison is?

According to research carried out by scientists, LEAD Poison is a very serious and highly fatal condition which only occurs when it builds in the body system. Aside from that, it is also a highly toxic metal and very lethal poison.

From that definition, one would know that in one way or the other we touch or hold metal which simply means it affects us all. Having said all of that, here are eight (8) things you need to know about LEAD poison.

1) It is found in lead based paints (Paints on the walls of old houses); Ever since we all heard about the poison, all we hear is, the farmers from one community went into illegal mining and as a result of that came in contact the poison. But here it is, go to urban areas; you would find old houses with paints falling out.

2) It is also found in toys; Let me ask, how many villagers buy toys for their kids? I am sure your answer is none. Ninety percent (90%) of our kids today all have toys with which they play with it. For instance, it could be seen in old toys or imported toys. It gets to them while making them in the factories.

3) Pregnant women are at a high risk of getting it; All over the world today, from villages, to communities, to town to city, we have women who get pregnant and also give births on a daily basis. They are at higher risks of getting it.

4) Drinking water also can be contaminated by the poison; It is often said that “Water is life” and we all drink water, but ironically LEAD poison can be found in water. This happens through metal corrosion or the wearing away of pluming materials in the water system and households.

5) It also breeds in soil; Do you know that soil and walkways around industrial areas may contain LEAD. It could get contaminated through past use of LEAD in gasoline.

6) Children are also at risk; Children below the age of six (6) can contact the poison because their brain and nervous system are still developing, and they often play with soil, aside from that pregnant mother could pass it on from the womb through the intestine.

7) If discovered early, it could be treated but if not it cannot be reversed; Once it’s detected early enough, it can be treated with Chelation therapy and EDTA , but in  cases where it leads to severe damages, it cannot be reversed. Chelation therapy is a series of intravenous infusions containing disodium EDTA and various other substances. It is sometimes done by swallowing EDTA or other agents in pill form.

8) Basic symptoms of LEAD poison; This is a list symptoms of patience with Lead Poison; i. Abdominal Pain, ii. Abdominal Cramps, iii. Aggressive Behavior, iv. Constipation, v. Sleeping Problems, vi. Headaches, vii. Irritability, viii. Loss of Developmental Skills in Children, ix. Loss of appetite, x. Fatigue, xi. High Blood Pressure, xii. Numbness or Tingling in the extremities, xiii. Memory Loss, xiv. Anemia, xv. Kidney Dysfunction.

One would realize that LEAD poison is not only restricted to the people from the mining states. Yes, they might have one way or the other gotten exposed to the poison due to ignorance and lack of job by going into illegal mining. But anyone could be a victim of Lead Poison.

Let’s give a helping hand to the affected victims, as it is often said “Health is Wealth”.

Next episode promises to be interesting as we talk about prevention of the LEAD poison.

 

[Press Release] Time is Running Out For Sick Children with High Lead in Shikira

Hamzat Lawal May 5, 2016 0

Press Release for Immediate Publication

 [Abuja, May 9, 2016] Over one year after lead disaster that killed little children, nothing has been done to save other living as Connected Development [CODE] warns that time is running out to solve the Niger crisis in Nigeria. “Shikira which harbours two villages (Ungwar Magiro and Ungwar Kawo) is reaching crisis point” said Hamzat Lawal, Chief Executive, CODE. “More than one year after the lead poisoning disaster was first discovered in Niger state, over 300 hundred children below 5 years are still awaiting critical medical treatment.

Our partner, Médecins sans Frontières (MSF) / Doctors Without Borders is ready and willing to treat these children, but cannot do so until their homes have been environmentally remediated. It’s time to get the lead out of Shikira,” he continues.

Remediation was due to begin at the end of October 2015, directly after the last rainy season. The window for remediation in Shikira is closing rapidly, if the process is not started before the end of May, it will be too late before the next rainy season. This could have disastrous consequences for the community, mostly vulnerable sick children – if the funds are not released now, doctors chances of treating lead-poisoning victims in Shikira is drastically reduced.

Lawal, has called on President Buhari led federal government to release the needed funds, estimated to be five hundred million naira ($2.6M) for remediation through the Ecological Funds Office under the Presidency so sick children can get chelation therapy treatments and to help curb the spread of lead poison contaminations to other neighbouring villages.

 Mr Lawal, who spoke at the Follow the Money Stakeholders Town Hall Meeting held on May 4 in Minna, Niger state, said he has called on the President and the National Assembly to declare Shikira community a state of emergency in the country.

 He further expressed his disappointment on some key agencies of the government who were not present at the meeting.

 “I’m not happy that relevant agencies of government, most especially federal ministry of environment, ministry of solid minerals and ministry of health are not present at this important meeting after sending invitations ahead of time.

 “It shows us to what extent government takes the Nigerian life serious, most especially our vulnerable children who needs urgent medical attention,” he said.

He concluded by saying, ‘As part of Follow The Money social media campaign using the hash tag #SaveShikira on Twitter, upon returning to Abuja, we tweeted at the Honourable Minister for Environment, Amina J. Mohammed, and she responded saying plans are underway to visit Shikira after the Ministerial briefing holding this week Wednesday’. But can children in Shikira wait any longer? Time that we don’t have would tell!

On Community Outreach To Shikira

Sefiya Ibrahim is a 27 years mother to Hafizu Ibrahim, a 9 month old baby who has been on admission in Kagara general hospital for 16 days receiving treatments from lead poison. According to MSF, Hafizu has over 200 mg/kg Pb lead level in his blood stream and this are the cases of other children in Shikira below 5 years. In tears, Safiya is pleading with the government to come to their aid so she would not lose her son after losing two children in 2015 due to the outbreak. ‘I’m begging our President to come and help us so we can see our children grow to become men and help us when we’re old’.

 Little Ibrahim did not stop crying the entire time we were in the hospital and he could not be pacified. We call the relevant government agencies to order and demand that remediation be done in these communities. We call on citizens to lend their voices to #SaveShikira and only immediate action by the Government can change the situation for the better. Doctors conformed that Hafizu has over 200 mg/kg Pb in his blood stream.

Before the Lead Poison Outbreak

Ever since the disease broke out in the Northern Region, it has left many dead. The disease is highly deadly and sometimes lead to fatal condition which causes severe mental and physical impairment. Young children below 5 years are most vulnerable to the lead poison, a highly toxic metal. This is caused by unregulated mining practices in communities across the country.

In May 2012, Occupational Knowledge International (Ok International) submitted a report to the Federal Ministry of Solid Minerals highlighting flash points of informal mining site is Nigeria that uses dangerous substances and mining techniques which are also prone to lead poison. In this report, Niger, Ebonyi, Nassarawa, Kaduna among other states where mentioned. The outbreak of lead in Niger state shows that nothing was done to curtail this buttressing government recklessness which has taken innocent lives, mostly children.

 CODE Stakeholders Town Hall Meeting

Speaking at the town’s hall meeting hosted by CODE in Minna, the Emirate Council representative, Galadima Katako of the Kagara community, said that the outburst has been on since last year, adding that he expected the government would have found a lasting solution.

He stressed that it is important for good coordinated approach spearheaded by government so we don’t have duplication of efforts and misinformation about the plight of our people. We are begging for quick actions on remediation so our sick children can access free medical treatments by doctors on the ground ready to administer them.

‘The issue has lingered on for a while now, and if the federal government does not provide a solution to it by July, then the situation will be critical.” he stressed.

 “I want the Federal Government to help put an end to this unregulated mining activities and provide alternatives to secure jobs for the villages, ranging from agriculture amongst others,” he said.

 However, the representative of the local miners, Shaibu Usman, stated that they agree that the mining they do is unregulated, adding that it’s the only source of their income in which they feed their families and also train their kids by sending them to school.

 “We know that the lead poison generated from our mining, but we want the government to create jobs for us so we can stop the mining we do, or teach us how to mine safely and provide equipments to help us do it better” Usman said.

 The Women Representative, Nuttu Shikira, also present complained about how life has become difficult for them due to the lead poison. ‘We have lost 30 children since the outbreak last year and we’re really worried so we don’t lose other children’. We call on the government of President Muhamadu Buhari to please help us. Not only our children are sick, even our husband has been ill for some time and can’t do any work again leaving me and my children to go hungry most times.   

 Mallama Shikira, further called on the Federal Government to provide urgent assistance to the people of her community.

 Also speaking, a representative and Doctor, Simba Tirima, of Medicine and Frontiers, MSF, said that there is a high need to eradicate the lead poison existing in the various communities so as to have a healthy environment.

 “there is need for coordinated efforts by the people living within the Shikira community to curtail the spread of the lead dust as a result of unsafe mining activities being carried out by the local artisanal miners” he said.

 He however noted that in November 2015, characterisation was done to ascertain the level of contamination in the community and found out that more than 2500 community members exposed with over 300 children with high lead level in their blood stream.

MSF has set up a base in Kagara since October 2015 and with support from TerraGraphics conducted a full environmental characterization in November 2015 with a remediation plan submitted to the government.

‘We saw in some cases >500,000 mg/kg Pb in some areas which is far much higher that US EPA threshold which is 400 mg/kg Pb for residential soils’, Tirima noted.

Tsema Okoye, Global Rights representative added that remediation and treatment are not the only ideal solutions to the poison, stating that the ideal solution to this is to encourage these artisanal miners to practice safer mining and have government regulate this activities in local communities across the country. ‘The rains are here and in all of this, safer mining practices is key in ensuring no more outbreak in Nigeria is recorded’.

Hope for Shikira

TerraGraphics, MSF and local stakeholders including Follow The Money Team are all ready to start work immediately upon the release of the funds. Both organisations have been collaborating with Government agencies and ministries to assure there is a system in place that is effective, accountable, transparent and that will guarantee the best outcomes for the communities of Shikira.

This kind of collaboration ensures community participation and ownership of both process and results while assuring accountability and compliance with internationally recognised standards and best practices.

Present at the meeting were the representative of the Niger State House of Assembly, Local NGOs in the state, Representative from Independence Corrupt Practices Commission (ICPC), Representative from security agencies, Shikira District Head, Head local Miners, Shikira Women Representative, Representative from the Emirate Council in Kagara, Project Coordinator in Kagara for MSF/Doctors Without Borders, the media and Global Rights.

                                                                                                                                  ******END*********

Editor’s Note:

Pictures from the Town’s Hall Meeting –  https://flic.kr/s/aHskzFbXxp

 Connected Development [CODE] is a non government organization whose mission is to improve access to information and empower local communities in Africa.

http://connecteddevelopment.org

 Follow The Money initiative has over 420 coalition members made up of NGOs, Journalists Campaigners, Activists and Academics using available data to ensure funds that are meant for local communities reach them. http://followthemoneyng.org

 For Clarifications or Interviews:

In Abuja, Nigeria: Amina Mohammed, Communications Officer | amina@connecteddevelopment.org | +234-803-300-9722.
In Abuja, Nigeria: Hamzat Lawal | hamzy@connecteddevelopment.org | +234-809-294-9669 / +234-806-869-9956 (WhatsApp & SMS Only).

 

 

If 10,000 Primary Health Centres are provided …

Hamzat Lawal February 5, 2016 0

If the Minister of Health, Professor Isaac Adewole, and his Ministry complete the building and upgrading of at least 10,000 Primary Health Care Centres [PHCs] across the entire 774 local government areas of Nigeria in the next one year, millions of Nigerians living in communities will reduce approaching secondary and tertiary health institutions with common ailments like headache, malaria, cough and catarrh.

If the supporting announcement by the Minister of State for Health, Dr. Osagie Ehanire, for the ambitious project across Nigeria ensures its achievement, then overcrowding at the tertiary hospitals would reduce.

Ehanire said that the architectural plan of healthcare in Nigeria were 4: Preventive, Promotional, Curative and Rehabilitation.

The preventive aspect entails safe water, sanitation, hygiene, nutrition and immunisation which many local communities lack and existing infrastructure are not working.

Getting down to it …

The Total Proposed Health Budget stands at 257.7 billion naira from 221.7 billion [a 16% increase]

Out of which the total proposed for the National Primary Health Care Development Agency [NPHCDA] is 17.7 billion naira [It is the assumption of the author of this article that the NPHCDA would be have a major stake in this project]

Well, according to the budget for the National Primary Health Care Development Agency, there is no proposed spending for the upgrading and building of the PHCs as capital spending revolves arounds developing a national logistics supply; and procurement of vaccines and devices.

Visiting the website of the agency [http://www.nphcda.gov.ng/], reveals no information about Primary Health Centres, which should raise a few eyebrows given that the project is supposed to be completed within the year 2016.

So I return to where I began this post “If

Also, if the funds are eventually released [from who knows where] and you want to probably get involved to support the completion of the project, you could activate us to track spending.

If


For Further Reading

2016 Appropriation Bill – Budget Office of the Federation

News article – FG to build 10,000 PHCs in 774 councils – Minister